Instructor Recommendation

Your student has requested to be considered for the Region 20 Scholarship Award. All applicants must submit a recommendation from their Instructor. Please answer the following questions and submit to the Scholarship Committee for review.

Student Name

First Name

Last Name

Student Rank

Student Association Number

Gup or Dan Number

Dojang Name

Dojang Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Instructor Name

First Name

Last Name

Instructor Rank

How long has this student been enrolled in your WTSDA Martial Arts program?

Has this student actively trained at your studio during the previous year ?

(average 2 classes per week)

Please describe this student’s participation in your studio’s classes. Include a brief discussion of their attendance, motivation and willingness to help others.

Please describe this student’s participation in your studio’s activities outside of training in class. Include their involvement with teaching, demonstrations, Gup tests and special classes outside the studio.

Please describe this student’s participation in WTSDA events outside your studio. Include their involvement with tournaments, clinics, Black Belt tests, Gup tests at other studios, and special assignments from the Regional Director, Headquarters or the Grandmaster.

Please describe this student’s leadership qualities. If possible, please provide specific examples of their leadership.

Please make any additional comments you would like to offer the scholarship committee regarding this student’s consideration for the Scholarship Award.

I certify by my signature that the above information is true and correct

First Name

Last Name

Region 20 Webmaster

region20webmaster@mastangsoodo.com

Region 20 Regional Director
Master Patrick Marsch
mstrmarsch@aol.com

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